Extended Living Pharmacy LLC
Extended Living Pharmacy LLC is a Pharmacy in Forsyth, Illinois. Licensed in Illinois. Registered with an NPI since 2006.
- Licensed in
- IL
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
338 W Marion AveForsyth, IL 62535-1064
Phone: (217) 875-7147
Fax: (217) 875-7081
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Long Term Care Pharmacy (primary) | Taxonomy 3336L0003X · Licence 054016055 (IL) |
|---|---|
| Pharmacy | Taxonomy 333600000X |
| Community/Retail Pharmacy | Taxonomy 3336C0003X |
Record details
| NPI number | 1992899306 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Aubry — Manager · (217) 855-8378 |
| Other names | Extended Living Pharmacy Llc; Extended Living Pharmacy Llc |
| NPI enumerated | October 3, 2006 |
| Last updated in NPPES | March 13, 2019 |
| Mailing address | 338 W Marion Ave, Forsyth, IL 62535-1064 |